Multicenter Study That Offers New Solutions for Paediatric Rehabilitation by Proposing a Rehabilitation Plan Based on Each Child's Needs Using New Technological and Robotic Devices, Combined Among Them.

Canadian Occupational Performance Measure (COPM)

Assessment tool used in occupational therapy to evaluate an individual's performance and satisfaction in both daily and personal activities. The COPM focuses on activities that are meaningful to the assessed person, allowing them to identify areas where they wish to improve their abilities or participation. This tool helps therapists better understand their patients' needs and desires, enabling them to plan targeted therapeutic interventions to enhance their quality of life and overall well-being.

Melbourne Assessment-2 (MA2)

A standardized, valid, and reliable tool for assessing the quality of upper limb movement in children with neurological deficits aged between 2.5 and 15 years. The MA2 measures four elements of movement quality: range of motion, accuracy, dexterity, and fluidity. It consists of 14 items for reaching, grasping, releasing, and manipulating simple objects. For each item the examiner gives a score ranging from 0 to 4, higher score corresponds to better performance.A raw score and percentage score are provided for each of the four sections, which will be analyzed separately. The test is administered by video recording the child's performance, which will be evaluated later by the examiner.

ABILHAND-Kids.

The ABILHAND-Kids is a brief questionnaire that measures 21 key bimanual daily activities. The score is assigned by a parent based on the difficulty the child has in performing the requested activity on a daily basis, using a 3-point scale (impossible, difficult, easy). The response scores are entered into a Rasch model to obtain a continuous score representing the child's level of manual ability. A higher score indicates greater manual skill and autonomy. It has been validated in children with Cerebral Palsy aged 6 to 15 years, showing good validity (R=0.94) and good reproducibility over time (R=0.91).

Gross Motor Function Measure-88 (GMFM-88).

The GMFM-88 is an assessment tool used to measure gross motor ability in children with motor disabilities, particularly those affected by cerebral palsy. It is designed to evaluate motor function in areas such as positioning, movement, trunk control, and locomotion. The GMFM-88 consists of a series of 88 items divided into five dimensions (A, B, C, D, E), with each item rated on a 4-point scale (0-3) that reflects the child's level of ability for that specific task. Single scores are summed to obtain a partial score for each dimension. The partial scores are then combined to calculate a total score, represented as a percentage that reflects the child's overall performance in gross motor skills. A higher score indicates better gross motor function.

Six Minutes Walking Test (6MWT)

A test used to assess walking endurance in children with cerebral palsy. During the test, the child is encouraged to walk as much as possible for a period of six minutes along a standardized pathway. The score is assigned based on the total distance covered in six minutes and the distance covered separately in each minute, expressed in meters. This distance is then interpreted according to normative tables that vary by age, gender, and sometimes health status to determine if the result is adequate, below average, or above average. This test provides valuable information about the child's level of endurance during walking and can be used to monitor progress over time and evaluate the effectiveness of therapeutic interventions.